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PCM
(Principal Care Management)
PCM focuses on patients with a single high-risk chronic condition, providing tailored care coordination, specialist support, and comprehensive management to improve overall health outcomes.
CPT Codes
Complex PCM - Staff
CPT 99426
PCM services provided by a clinical staff for 30 minutes of care coordination activities and management.
CPT 99427
Additional 30 minutes of PCM services provided by a clinical staff, focusing on care coordination.
Complex PCM - Provider
CPT 99424
PCM services for 30 minutes provided directly by physicians or qualified healthcare providers, emphasizing complex medical decision-making.
CPT 99427
Additional 30 minutes of PCM services provided by physicians or qualified healthcare providers, focusing on intensive care coordination needs.
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